No nuts please!
#76
Join Date: Nov 2014
Location: London
Programs: BAEC Silver, M&M, HHonors Gold
Posts: 1,223
Quite interested in this thread, my aunt has a VERY severe egg allergy. Contact with / cross contamination with egg leads to Anaphylaxis, constriction of airways can happen if eggs are being cooked in a confined space near her. On a morning Short Haul flight would BA apply the same principle in this case? What would happen to breakfast in CE?
#78
Join Date: Nov 2017
Posts: 389
#79
Join Date: Feb 2009
Posts: 1,060
A couple of comments:
First, timing between onset of symptoms and injection of epinephrine (adrenaline) is probably more important than the depth to which the needle penetrates (assuming you inject in the correct area of outer thigh)
Second, clinical trials suggest that you are very unlikely to have a reaction due to inhaling peanut dust ot from touching a surface.
Simonte SJ, Ma S, Mofidi S, Sicherer SH. Relevance of casual contact with peanut butter in children with peanut allergy. J Allergy Clin Immunol 2003;112:180-2.
Perry TT, Conover-Walker MK, Pomes A, Chapman MD, Wood RA. Distribution of peanut allergen in the environment. J Allergy Clin Immunol 2004
First, timing between onset of symptoms and injection of epinephrine (adrenaline) is probably more important than the depth to which the needle penetrates (assuming you inject in the correct area of outer thigh)
Second, clinical trials suggest that you are very unlikely to have a reaction due to inhaling peanut dust ot from touching a surface.
Simonte SJ, Ma S, Mofidi S, Sicherer SH. Relevance of casual contact with peanut butter in children with peanut allergy. J Allergy Clin Immunol 2003;112:180-2.
Perry TT, Conover-Walker MK, Pomes A, Chapman MD, Wood RA. Distribution of peanut allergen in the environment. J Allergy Clin Immunol 2004
#80
FlyerTalk Evangelist
Join Date: Mar 2010
Location: JER
Programs: BA Gold/OWE, several MUCCI, and assorted Pensions!
Posts: 32,145
However, a more general question for the Medics here. WHY have such severe allergies become prevalent over the decades? Neither my wife nor I (in our 70s) can recall this ever being mentioned in the 40/50/60’s, yet now it seems extraordinarly prevalent and SEVERE.
Does the Medical profession have a view? Or is research on-going as to why the younger generations are so afflicted?
#81
Join Date: Feb 2018
Location: UK
Programs: BAEC Silver
Posts: 153
However, a more general question for the Medics here. WHY have such severe allergies become prevalent over the decades? Neither my wife nor I (in our 70s) can recall this ever being mentioned in the 40/50/60’s, yet now it seems extraordinarly prevalent and SEVERE.
Does the Medical profession have a view? Or is research on-going as to why the younger generations are so afflicted?
Does the Medical profession have a view? Or is research on-going as to why the younger generations are so afflicted?
- Children/Babies are less exposed to food that might cause allergies based on health advice, which then increases the chances of a severe reaction if introduced to allergens later in life
- Less breast feeding, not exposing babies to trace amounts of allergens via breast milk
- The tendency to "protect" children from the elements / nature
- Better diagnosis
- A more varied diet with expose the food types that many people would not have had expose to in years gone by
- Going back many many years people would die for unknown reasons that were in fact allergies that would be treated today
#82
A FlyerTalk Posting Legend
Join Date: Jun 2004
Location: Either at the shooting range or anywhere good beer can be found...
Posts: 51,048
I've been the cause for those announcements on a few flights. I would rather be safe and not be diverted to a different location or die on a flight. I think the worst was when Mr. Kipper and I flew to England on our honeymoon 15+ years ago. I asked an FA about the ingredients in a dessert, and she said she didn't know and seemed to not care about my allergy. Mr. Kipper did a quick calculation about where we were and said, "If you want to eat it, go ahead. We're near enough to land that we can divert." I opted out of eating it.
I've landed in the ER due to accidentally eating almonds, and it's not a pleasant experience. Once I consumed them, I very quickly started feeling like I couldn't breathe, vomited (not a great thing when your throat is closing), and even with two doses of Benadryl, still ended up at the ER because I couldn't breathe. When they discharged me several hours later, I was given three additional medications to take for a week, and told that I needed to carry an Epi-Pen with me. No discussion about that. So, now I carry an Epi-Pen everywhere, including when Mr. Kipper and I go to concerts or sporting events, and yes, especially when I fly.
I'm allergic to peanuts, almonds, macadamia nuts, cashews, walnuts, pecans, etc. As a child, I even had a mild allergy to peas and certain types of beans. Those two were my favorite diagnosis, because I was able to then avoid those when served at dinner. I've since outgrown the peas and beans allergy, but my almond allergy has become worse with time.
I believe in my area, police are also allowed to administer Narcan.
I'm allergic to all tree nuts and peanuts.
The smell of nuts makes me nauseous, occasionally to the point of vomiting, likely because my body's reaction, when I eat nuts, is to vomit. Not a severe reaction, but not pleasant for anyone on a flight.
I notify them when I make the reservation, confirm that it is listed online repeatedly, and then follow up at the airport.
Oddly, I was breastfed, exposed to nuts, eggs, and other allergens at a young age, allowed to wander around outside as a baby (even naked! oh, the horror!). I'm allergic to a lot of things.
I've landed in the ER due to accidentally eating almonds, and it's not a pleasant experience. Once I consumed them, I very quickly started feeling like I couldn't breathe, vomited (not a great thing when your throat is closing), and even with two doses of Benadryl, still ended up at the ER because I couldn't breathe. When they discharged me several hours later, I was given three additional medications to take for a week, and told that I needed to carry an Epi-Pen with me. No discussion about that. So, now I carry an Epi-Pen everywhere, including when Mr. Kipper and I go to concerts or sporting events, and yes, especially when I fly.
It seems half my posts on flyertalk are about this issue, but there is so much garbage information going around even among doctors (as can be seen from this thread).
Please remember - peanut allergy CAN NOT cause severe reactions unless you get peanut in your mouth (or nose). In those cases even trace amounts are dangerous, but peanut particles do not float in the air, they are too heavy for that.
The smell of peanuts does not cause any allergic reaction at all, physical contact can cause slight localised reddening in some cases of severe peanut allergy, and could probably be prevented by taking antihistamine before the contact. There is absolutely no need to wipe the surfaces (unless you're going to lick them, in which case I would hope you also wipe them afterwards).
Only thing you have to do is to read the labels of what you put in the patient's mouth, and think about possible cross-contamination. And enjoy your flight!
Please remember - peanut allergy CAN NOT cause severe reactions unless you get peanut in your mouth (or nose). In those cases even trace amounts are dangerous, but peanut particles do not float in the air, they are too heavy for that.
The smell of peanuts does not cause any allergic reaction at all, physical contact can cause slight localised reddening in some cases of severe peanut allergy, and could probably be prevented by taking antihistamine before the contact. There is absolutely no need to wipe the surfaces (unless you're going to lick them, in which case I would hope you also wipe them afterwards).
Only thing you have to do is to read the labels of what you put in the patient's mouth, and think about possible cross-contamination. And enjoy your flight!
There has been lots of research but the answer is nobody really knows, but they there seem to be several causes (or ideas on causes) including:
- Children/Babies are less exposed to food that might cause allergies based on health advice, which then increases the chances of a severe reaction if introduced to allergens later in life
- Less breast feeding, not exposing babies to trace amounts of allergens via breast milk
- The tendency to "protect" children from the elements / nature
- Better diagnosis
- A more varied diet with expose the food types that many people would not have had expose to in years gone by
- Going back many many years people would die for unknown reasons that were in fact allergies that would be treated today
#83
Join Date: Dec 2014
Location: Haze gray and underway
Programs: UA 1K 2MM, HH Diamond, Marriott 'clink clink' Titanium
Posts: 1,784
A rather insenstive post, IMO.
However, a more general question for the Medics here. WHY have such severe allergies become prevalent over the decades? Neither my wife nor I (in our 70s) can recall this ever being mentioned in the 40/50/60’s, yet now it seems extraordinarly prevalent and SEVERE.
Does the Medical profession have a view? Or is research on-going as to why the younger generations are so afflicted?
However, a more general question for the Medics here. WHY have such severe allergies become prevalent over the decades? Neither my wife nor I (in our 70s) can recall this ever being mentioned in the 40/50/60’s, yet now it seems extraordinarly prevalent and SEVERE.
Does the Medical profession have a view? Or is research on-going as to why the younger generations are so afflicted?
#84
Join Date: Jun 2009
Location: UK
Programs: Lemonia. Best Greek ever.
Posts: 2,271
2 comments
1. A friend of mine has a severe nut allergy. He ate something without nuts listed. The (BA) plane was diverted. It can happen.
2. My daughter has severe cashew and peanut allergy, (and avoids all other nuts due to sourcing problems). However, we always have nuts in our house.. Normally stored away in a draw/cupboard. She has never been impacted by those nuts.
1. A friend of mine has a severe nut allergy. He ate something without nuts listed. The (BA) plane was diverted. It can happen.
2. My daughter has severe cashew and peanut allergy, (and avoids all other nuts due to sourcing problems). However, we always have nuts in our house.. Normally stored away in a draw/cupboard. She has never been impacted by those nuts.
#85
Join Date: Jun 2005
Location: ORD (formerly SAN)
Programs: Hilton Diamond; IHG Platinum; Bonvoy Gold; AA Platinum Pro and United Premier Silver (DH = AA EXP)
Posts: 1,928
@kipper so sorry to hear about your allergy. DS has a cashew allergy and we preboard to wipe down seats because they always serve cashews on AA first class flights. We also inform the FA's upon boarding so they don't try to serve us nuts. Once in a while, they ask if the entire cabin/plane needs to avoid it - we decline this option since it doesn't seem to affect him this way (knock on wood), but we always appreciate the concern. We've been to the ER once, and always carry an epi-pen with us everywhere. He now avoids all nuts (including peanuts and other tree nuts) just in case there is cross-contamination. Unless you experience it or know if people that do, people often don't understand the ramifications of something as simple as eating nuts can be a life or death situation for some.
#86
Join Date: Jul 2018
Posts: 1,281
From http://www.leedsth.nhs.uk/assets/Upl...y-original.pdf :
I think it's important to point out that scaremongering can lead to all sorts of mental health issues for those involved.
If a doctor has provided specific advice about their patient and their condition, and it's at odds with what is above, then I can understand the parents following the doctor's orders. It's a really unpleasant situation for all concerned.
Originally Posted by Allergy UK
There is no evidence that peanut protein can be circulated in the cabin air and cause a severe reaction on a plane
If a doctor has provided specific advice about their patient and their condition, and it's at odds with what is above, then I can understand the parents following the doctor's orders. It's a really unpleasant situation for all concerned.
#87
A FlyerTalk Posting Legend
Join Date: Jun 2004
Location: Either at the shooting range or anywhere good beer can be found...
Posts: 51,048
@kipper so sorry to hear about your allergy. DS has a cashew allergy and we preboard to wipe down seats because they always serve cashews on AA first class flights. We also inform the FA's upon boarding so they don't try to serve us nuts. Once in a while, they ask if the entire cabin/plane needs to avoid it - we decline this option since it doesn't seem to affect him this way (knock on wood), but we always appreciate the concern. We've been to the ER once, and always carry an epi-pen with us everywhere. He now avoids all nuts (including peanuts and other tree nuts) just in case there is cross-contamination. Unless you experience it or know if people that do, people often don't understand the ramifications of something as simple as eating nuts can be a life or death situation for some.
I spent much of that week pretty doped up with the Benadryl, and don't remember much of the week.
#88
Join Date: Apr 2015
Posts: 74
I have a potentially fatal allergy to cheese (and related caseenated dairy products)
I have been hospitalized for accidental cross contamination before
I would still not DREAM of asking other passengers to be inconvenienced for my issue
My problem, my responsibility to minimise it, no one else's
If it got so bad I could have an anaphylactic attack due to a fellow passenger eating cheese, I would feel it's my problem and I wouldn't fly
#89
Join Date: Apr 2015
Posts: 74
Unless you stab it into someone's eye, nothing can do wrong with epipen.
The dose in a epipen is only just over half the dose that would be given in A&E or an ambulance.
Worse case is that you give it someone not having an anaphylactic reaction, it which case they might feel a bit funny but won't do any harm.
The dose in a epipen is only just over half the dose that would be given in A&E or an ambulance.
Worse case is that you give it someone not having an anaphylactic reaction, it which case they might feel a bit funny but won't do any harm.
It can certainly trigger tachycardia, which can be fatal
The girl who died on a flight after eating a sesame seed sandwich from Pret died, according to the coroner recording a narrative verdict, because of tachycardia caused by the epipen, not the allergy
#90
Join Date: Apr 2015
Posts: 74